Organization Active NPI

Gi Pathology, LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Warren, OH
National Provider Identifier
1588955470
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
3558015 Issued in OH
Legal business name
GI PATHOLOGY, LLC
Practice address
1622 E Market St
Warren, OH 44483-6613
Phone
(330) 399-7215
Fax
(330) 399-2411
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adel Youssef, M.D.
Title
President
Phone
(330) 399-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X 3558015 OH Primary

Addresses

Primary practice location

1622 E Market St
Warren, OH 44483-6613

Mailing address

PO Box 714009
Columbus, OH 43271-4009
Phone (330) 399-7215

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1588955470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714009",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714009",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836613",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-399-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "3558015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.